JAMES EDWARD MCKENDREE JR. MD
NPI 1992700504
Family Medicine in Johnstown, PA

Q: What is James Mckendree's NPI number?

The NPI number for James Mckendree is 1992700504. It was assigned to this individual provider in the NPPES registry on June 20, 2005.

Q: What is James Mckendree's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for James Mckendree was last updated on July 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 20, 2005PECOS EnrolledAccepts Medicare Assignment

1013 MENOHER BLVD, JOHNSTOWN, PA 15905(814) 254-4885(814) 254-4533 Get Directions Write a Review

NPPES record last updated: July 10, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About James Edward Mckendree Jr. Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JAMES EDWARD MCKENDREE JR. MD (NPI 1992700504) is an individual family medicine provider in Johnstown, Pennsylvania, licensed in Pennsylvania (MD420002) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with Upmc Somerset, and is a graduate of Temple University School Of Medicine (2000).

NPPES Registry Identity

NPI1992700504

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameJAMES EDWARD MCKENDREE JR.Credential: MD

Location Address1013 MENOHER BLVDJohnstown, PA 15905-2544

Mailing Address1013 Menoher BlvdJohnstown, PA 15905-2544 · (814) 254-4885 · Fax (814) 254-4533

Phone(814) 254-4885

Fax(814) 254-4533

Sole ProprietorNo

Medical School CMSTemple University School Of MedicineGraduated 2000

Enumeration DateJune 20, 2005

Last NPPES UpdateJuly 10, 2023

NPPES CertifiedJuly 10, 2023

✔ NPI 1992700504 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in PA · MD420002

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1013 MENOHER BLVD, Johnstown, PA 15905

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Other Identifiers 1

Medicaid0019195700003PA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

James Edward Mckendree Jr. Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9234254327

PECOS Enrollment IDI20100913000962

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show James Mckendree reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Prime Care Providers LLC

Same address

Family Medicine

1013 MENOHER BLVD
Johnstown, PA 15905

Reassigned Medicare billing, Pennsylvania enrollment
10 clinicians in this Medicare group

NPI 1992353619 (814) 254-4885

Medexpress Urgent Care, PC - Pennsylvania

4.9 mi

Urgent Care

1221 SCALP AVE
Johnstown, PA 15904

Reassigned Medicare billing, Pennsylvania enrollment
214 clinicians in this Medicare group

NPI 1891011979 (814) 266-1138

Lifeline Medical, LLC

5.8 mi

Mental Health (Including Community Mental Health Center)

1415 EISENHOWER BLVD
Johnstown, PA 15904

Reassigned Medicare billing, Pennsylvania enrollment
4 clinicians in this Medicare group

NPI 1255127445 (814) 243-0414

Lifeline Medical Center

357 mi

Family Medicine

2101 JACKSON ST STE 109
Anderson, IN 46016

Reassigned Medicare billing, Pennsylvania enrollment
29 clinicians in this Medicare group

NPI 1265160451 (814) 408-0014

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 11

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

419 services216 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

108 services80 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

70 services70 patients

Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit G0438

An annual wellness visit is a yearly appointment with your doctor to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's an opportunity to discuss your health status and goals and get a plan tailored for you.

55 services55 patients

Injection of drug or substance under skin or into muscle 96372

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

42 services17 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

39 services39 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Upmc Somerset

Acute Care Hospitals · Somerset, PA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390039

Location225 South Center AvenueSomerset, PA 15501 · Somerset County

Emergency services

Upmc Altoona

Acute Care Hospitals · Altoona, PA

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390073

Location620 Howard AvenueAltoona, PA 16601 · Blair County

Emergency services Birthing friendly

Conemaugh Memorial Medical Center

Acute Care Hospitals · Johnstown, PA

3/5 CMS rating

OwnershipProprietary

CMS Certification Number390110

Location1086 Franklin StreetJohnstown, PA 15905 · Cambria County

Emergency services Birthing friendly

Chan Soon- Shiong Medical Center At Windber

Acute Care Hospitals · Windber, PA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390112

Location600 Somerset AvenueWindber, PA 15963 · Somerset County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15905 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$84.88 typical visit price

range $54.64 – $166.87

Typical copayment $21.22 (range $13.66 – $41.71)

Most-billed visit code 99203

Established Patient

$96.82 typical visit price

range $17.33 – $135.84

Typical copayment $24.20 (range $4.33 – $33.96)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report

7%60 patients1/55-star benchmark: 87%

Documentation of Current Medications in the Medical Record

100%1,025 patients5/55-star benchmark: 100%

Falls: Screening for Future Fall Risk

0%131 patients1/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

22%965 patients1/55-star benchmark: 98%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 0% · 144 patients

Patients totalRate: 0% · 144 patients

0%144 patients5/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

2 suppliers23 claims23 services$89.59 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

2 suppliers20 claims20 services$34.87 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SLATER LABORATORIES INC

Clinical Medical Laboratory